RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC (NPI# 1003000399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003000399 |
Entity Type | Organization |
Organization Name | RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC |
Other Organization Name | RECONSTRUCTIVE HAND SURGEONS OF INDIANA |
Practice Address |
13431 Old Meridian Street Suite 225 Carmel IN 46032 |
Practice Telephone | 3172492616 |
Practice Fax Number | 3172492618 |
Mailing Telephone | 3172492616 |
Mailing Fax Number | 3172492618 |
Enumeration Date | 2007-08-30 |
Last Update Date | 2014-05-19 |
Authorized Official Name | MR. MICHAEL E PANNUNZIO (PARTNER) |
Authorized Official Telephone | 3172492616 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | MEDICAL LICENSE | 01063681A | 01 |
Other Name | Type Code |
---|---|
Reconstructive Hand Surgeons of Indiana | Former Legal Business Name - Organization |
Street Address |
13431 OLD MERIDIAN STREET SUITE 225 |
City | CARMEL |
State | IN |
Zip Code | 46032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
Find all providers in zip 46032 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598700783 | Michael E Pannunzio | Orthopaedic Surgery | 13431 Old Meridian St, Suite 225, Carmel, IN 46032-7101 | 2006-06-19 |
1033259841 | James W Strickland Md PC | Orthopaedic Surgery | 13421 Old Meridian St, Suite 200, Carmel, IN 46032-1427 | 2007-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689873291 | Christian Hand Center, Inc | Orthopaedic Surgery | 1800 S. 3rd St., Terre Haute, IN 47802 | 2007-07-13 |
1295708659 | Richard L Makowiec | Orthopaedic Surgery | 5255 E Stop 11 Rd Ste 300, Indianapolis, IN 46237 | 2006-02-08 |
1497758429 | Fort Wayne Orthopaedics LLC | Orthopaedic Surgery | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-05-23 |
1639644560 | Orthocincy | Orthopaedic Surgery | 605 Wilson Creek Rd, Lawrenceburg, IN 47025-2506 | 2018-10-08 |
1912404435 | Thomas A Brady Sports Medicine Ctr | Orthopaedic Surgery | 639 S Walker St Ste E, Bloomington, IN 47403-2124 | 2018-04-11 |
1952790321 | Community Care Network, Inc | Orthopaedic Surgery | 7835 Grand Blvd, Hobart, IN 46342-6665 | 2015-01-22 |
1679903009 | Trihealth Physicians of Indiana, Inc. | Orthopaedic Surgery | 600 Wilson Creek Rd, Suite 310, Lawrenceburg, IN 47025-2751 | 2013-11-21 |
1043525009 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 315 W Old Key Dr, Suite 140, Peru, IN 46970-9058 | 2010-08-16 |
1881909935 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 207 N Townline Rd, Lagrange, IN 46761-1325 | 2010-08-13 |
1609181759 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 1302 Minnich Rd, New Haven, IN 46774-2052 | 2010-08-13 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.